Individual
DR. ALEXA TIRADO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LA PLACITA LOCAL C-10, VEGA BAJA, PR 00693
(787) 366-0163
Mailing address
URB. MONTE VERDE, 3144 CALLE MONTE COQUI, MANATI, PR 00674
(787) 366-0163
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6298
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223752
REGISTRATION
PR
Enumeration date
11/20/2019
Last updated
12/13/2019
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